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RegistrationAgreement Form - Flex-T - REVISED June 6 - EZ Ride

RegistrationAgreement Form - Flex-T - REVISED June 6 - EZ Ride

RegistrationAgreement Form - Flex-T - REVISED June 6 - EZ Ride

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RELEASE AND WAIVER OF LIABILITYPlease read carefully! This is a legal document that affects your legal rights.This Release and Waiver of Liability (the “Release”) executed today by the <strong>Ride</strong>r and infavor of Meadowlands Transportation Brokerage Corporation D/B/A Meadowlink, andTrans Ware, Inc., both nonprofit corporations, their directors, officers, employees, andagents (collectively, “Provider”). The <strong>Ride</strong>r desires to use <strong>EZ</strong> <strong>Ride</strong> Senior TransportationProgram (the “Program”) to obtain subsidized rides.The <strong>Ride</strong>r understands that the rides will be provided on <strong>EZ</strong> <strong>Ride</strong> marked vehicles ownedby Trans Ware, Inc., driven by volunteers (the “Volunteers”) working with Meadowlink.The <strong>Ride</strong>r hereby freely, voluntarily, and without duress executes this Release under thefollowing terms:Release and Waiver. <strong>Ride</strong>r does hereby release and forever discharge and hold harmlessMeadowlink and Trans Ware and their successors and assigns from any and all liability,claims, and demands of whatever kind or nature, either in law or in equity, which arise ormay hereafter arise from his/her use of <strong>EZ</strong> <strong>Ride</strong> Senior Transportation program.<strong>Ride</strong>r understands that this Release discharges the Providers from any liability or claimthat the <strong>Ride</strong>r may have against them with respect to any bodily injury, personal injury,illness, death, or property damage that may result from <strong>Ride</strong>r’s participation in the SeniorTransportation Program, whether caused by the negligence of the Providers or theirofficers, directors, employees, or agents or otherwise. <strong>Ride</strong>r also understands that theProviders do not assume any responsibility for or obligation to provide financialassistance or other assistance, including but not limited to medical, health, or disabilityinsurance in the event of injury or illness.It is a policy of the Senior Transportation Program that the <strong>Ride</strong>rs must meet thevolunteer punctually at the curbside. Caregiver may rider free with the <strong>Ride</strong>r if the originand destination of the ride is same.Medical Treatment. <strong>Ride</strong>r does hereby release and forever discharge the Providers fromany claim whatsoever which arises or may hereafter arise on account of any first aid,treatment, or service rendered in connection with his/her use of <strong>EZ</strong> <strong>Ride</strong> SeniorTransportation program.Assumption of Risk. <strong>Ride</strong>r understands that any accident during transportation maycause minor or serious physical injury, or death, to the <strong>Ride</strong>r, including, but not limitedto, slip and fall while boarding and getting out of vehicle, and transportation to and fromthe <strong>Ride</strong>r’s destination. <strong>Ride</strong>r agrees to use the Senior Transportation Program with fullknowledge of the dangers and potential injuries involved. <strong>Ride</strong>r hereby expressly andspecifically assumes the risk of injury or harm in the transportation activities and releasesthe Providers from all liability for injury, illness, death, or property damage resulting________________________________________________________________________Meadowlink Transportation Center144 Park Place East, Wood-Ridge, NJ 07075Tel: 201-939-4242 Fax: 201-939-2630

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